Show I Page 20— The Herald Journal Logan Utah Tuesday March 30 1999 Seniors Continued from Page 11 Nursing homes offer the most intensive care providing k nursing Assisted living facilities come in two levels: Level One is designed for people who can get around on their own Level Two is for people who could evacuate a building with only one other person’s assistance In addition to nursing homes and assisted li ing centers families of seniors who need round-the-cloc- assistance may opt for nursing scrv ices nr hire someone to take care of housekeeping and grooming needs A family may take in an elderly member and find adult day services for times when a senior who needs assistance would be home alone Some seniors may even arrange for a caretaker to live in a basement apartment who would help them maintain their homes and see to their needs Meals on Wheels may keep people from needing a facility-jus- t by providing good nutrition Sorensen said But ideally whatever option a family picks they will include the senior family member in the decision It is good to visit several facilities Sorensen said and give the senior family member a choice Other factors should be weighed into the decision: the quality of relationships between g members of the family and the amount of autonomy desired by the senior member Senior care experts agreed some families wear themselves thin trying to care for a senior member before seeking outside help care-takin- In some cases the senior member would have more autonomy and better health care in a facility Sorensen said: there are more activ ities arid opportunities to socialize Unfortunately money is also a factor in the decision Sinclair said Medicare does not pay for assisted living It does pay for nursing in some instances Larry Jardine said his father was at a per- Things to watch for Sgns mat senors who are bwg alone may nMd help Detsrwatan i groomng habits Fev of falling and Breaking a bone Loss of interest artomga mat used to be important increaangaolaDon Failure to eat property Trouble taxing medcanon doses arv torgotten or mere an accidental overdoae Failure to keep irack of Mis inability of one spouse to eve tor toe other A doctor recommends tfiat toe person receives special care sonal crossroads when the decision was made to place him in an assisted living center The way Lany saw it LaReu could easily have given up trying to walk or function independently Instead Lam has seen his father gain back some lost weight and start walking with the aid of a walker Sgns mat a family canng lor an elderly member may need help: Relationships between spouses and children are suffering from the added stress Children seem to want to escape trom home Spouses want to talk but cannot find the ime The health of toe caregiver begins deteriorating: it seems there is not Ime lor toe caregiver to lane care of herself j j j j Larry credits the professional care offered by the facility "I question whether we could have given him that kind of encouragement alone” he said Sara tVeciors of mwwdhwng at Terrace Grove wiOWIhiiiwbuignekromsntCoinnMWr Sleep C'ontinued from Page 11 Dr Robert Schoumacher a pulmonologist and associate director of the Pediatric and Adolescent Sleep Disorders Center at Le Bonhcur Children's Medical Center subscribes to the Ferber camp But he describes himself as a “compassionate Ferber” While the family bed arrangement might he convenient for parents of young babies in need of frequent night feedings Schoumacher said cases of sudden infant death syndrome have been associated with it lie said parents should decide before babies reach 6 months whether they want to continue the family bed arrangement The longer they wait the harder it is to change Schoumacher recommends par- ents develop a consistent bedtime ritual taking a bath brushing teeth reading hooks and cud- dling quietly are typical activities to wind down for bedtime The bedtime ritual should end however with babies in their beds drowsy but awake The goal is to create environments for sleep that will be the same when huhics wake during the night For examples when babies are rocked to sleep in their parents arms they learn to associate fulling asleep with that environment: mothers' warm bodies certain lullabies and rocking motions When they wake up in the middle of the night and none of those conditions are present hiihics have difficulty going back to sleep That’s why Schoumacher also recommends waking babies that fall asleep during nighttime feedings before laying them in their cribs The bottle or breast should not become a cue for falling sleep Giving babies bottles of formula to drink while going to sleep also is a no-n- o Not only can it lead to rotted teeth and ear infections huhics cun develop aspira- tion pneumonia if milk gets in their lungs When it's lime to eliminate nighttime feedings — generally around 4 months depending on the child — Schoumacher sugduring gests doing night awakenings Read a short hook sing a lullaby but put babies into their cribs awake Gradually shorten rituals making sure the sleep environment is consistent Light room temperature and “Hankie” or pacifier access should he the same as when babies first went to sleep If babies cry to he picked up that’s where Ferher’s conditioning technique comes in mini-ritua- ls Schoumacher said Parents should wait five min- utes before coming to the room to coinfort babies lct them know everything’s OK then leave again for a longer interval and repeat until they fall asleep Most parents find waiting out the intervals is the hardest purl It might take days or it might take weeks But eventually babies get the idea: The days of midnight entertainment are over Ferber conditioning should not be used right before family trips when children's bedtime routines could fly out the window Schoumacher said And it also is not recommended when babies are sick and might need extra snuggles and attention All the methods in the world — whether family bedding or Ferber conditioning — cannot stop some problems Some children have medical issues that prevent them from sleeping Most children seen at the Le Bonheur center have obstructive sleep apnea a medical condition that can he caused hy enlarged tonsils iv adenoids If a child is waking up 12 times in a night and his or her sleep seems particularly disturbed or if breathing is difficult and he or she doesn't seem rested during the day talk to your pediatrician Schoumacher said &T0RE WJ DEffS'AVI NGS ! iaaRaaft iatig iHOniBtgsfn Childrens Misses Pet itesTfil Women si World s© Alfred Dunner Coordinates Misses Petit es fc Womens World 5© Misses Related Separates by Clio It 5© EH 5© 5© EH EH 5© 5© Sole Sole 1700-310- 0 34006200 Rig 1400-270- 0 Rag JKLA 28005400 ENTIRE STOCK Misses RafaeHa Sportswear Knits wouens pants and more Sale 144)0-304)- 0 Rq 28006000 Briggs PolyRayon Skirts Sale 1400-200- 0 Sag Harbor PolyRayon Sale 2000 Rig 1499-190- Jackets for Misses e k Twill Pants 1600 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